Compliance Department

Compliance Department

The goal of the Compliance Department is to prevent, detect and respond to issues of non-compliance at Passport Health Plan by promoting a values-based environment, conducting training, and encouraging an open dialogue on ethical issues and business practices.

Through its Compliance Program, Passport Health Plan demonstrates its commitment to the highest standards of ethics and compliance with all applicable state and federal laws, contractual obligations, rules and policies.

Contact the Hotline, if you have concerns about:
– Fraud, waste, and abuse
– Violations of the Passport Code of Conduct and Ethics
– How we conduct business

The Notice of Privacy Policy describes how medical information about you may be used and disclosed and how you can get access to this information.

Fraud, Waste, and Abuse

Passport Health Plan is committed to maintaining program integrity through the promotion of ethical business conduct and the prevention and detection of fraud, waste, and abuse. Passport’s program integrity functions are handled by the Program Integrity Unit in accordance with the Program Integrity Plan.

The Program Integrity Unit is responsible for:

Identifying and preventing provider and member fraud, waste, and abuse;

Investigating and tracking allegations of fraud, waste, and abuse by members, providers, and other sources; and

Identifying and addressing vulnerabilities in Passport’s program and taking appropriate action, such as recoupment of overpayments, changes to policy, dispute resolution meetings, and appeals.

Examples of Fraud, Waste, and Abuse

Member card sharing

Providers billing for services not performed

Providers billing a higher level of service than performed

Unbundling services

How you can helpIf you suspect fraud, waste, or abuse, please report it. You can report suspicious activity anonymously by calling Passport’s Hotline at 1-855-512-8500.

If you do not wish to remain anonymous, you may call Passport at (502) 585-8439 and ask to speak to a Program Integrity Investigator. Please provide as many details as possible so we can fully investigate. Please give the investigator your name and contact information so we can contact you if we need more information.

SUBROGATION/LIEN REQUESTConduent Payment Integrity Solutions handles subrogation matters on behalf of Passport. If you are an attorney representing a member of Passport in a case in which Passport may have a subrogation or reimbursement interest, please fax a letter of representation and a signed Passport Authorization of Release of Medical Records to Conduent at the number listed below.

MARKETING GRIEVANCESIf a person or organization has a complaint or grievance regarding the marketing practices of Passport, the person or organization should submit the information to the Passport Marketing Controller (see address below). The written information should include a description of the suggestion or the facts of the issue. The Marketing Controller will acknowledge the suggestion, complaint or grievance within ten (10) calendar days of receipt. Passport will review the suggestion, complaint or grievance and notify you of its comment or determination in writing within thirty (30) calendar days of receipt.

Friday September 27th,10:00 am-11:00 am

Thursday September 26th,12:00 pm-1:00 pm

The Healthy Lifestyle series is offered to JCTC students and will be held @HUB. Passport Health Plan’s Health Education Manager, Lisa Bellafato, and Behavioral Health Operation Manager, Eric Russ, will be onsite GET MORE INFO

Monday August 19th,12:00 pm-6:00 pm

Monday August 19th,5:00 pm-7:00 pm

BTS for college students. A Passport Representative will be onsite to provide information, answer questions, and hand out supplies. Location: Campbellsville University Student Center; Campbellsville, KY 42718

Saturday August 17th,11:00 am-12:00 pm

Monday August 12th,10:00 pm-2:00 pm

Free resource Fair for the Johnson County area- resources focused on insurance and local basic needs resources. A Passport representative will be onsite to provide information and answer questions. Location: 625 Main GET MORE INFO

Sunday August 11th,11:00 am-12:00 pm

Saturday August 10th,10:00 am-1:00 pm

Students have opportunity to receive free school and health supplies All of the back-to-school events are free and open to the public. Students must be accompanied by an adult to receive supplies, GET MORE INFO

Saturday August 10th,8:00 am-11:00 am

Event to allow families to collect community resources and pick up free school supplies. A Passport Representative will be onsite to provide information and answer questions. Location: 501 Philadelphia St; Covington, KY GET MORE INFO

Monday August 5th,4:30 pm-6:30 pm

Saturday August 3rd,9:00 am-11:30 am

A Back to School Event sponsored by the Medical Center for Franklin County students. The event will provide resources and information to participants; Passport Representative onsite to provide information and answer questions. GET MORE INFO

Saturday August 3rd,2:00 pm-5:00 pm

Saturday August 3rd,9:00 am-12:00 pm

Students have opportunity to receive free school and health supplies All of the back-to-school events are free and open to the public. Students must be accompanied by an adult to receive supplies, GET MORE INFO

Saturday August 3rd,9:00 am-12:30 pm

This event is for children and youth who attend Fayette County Public Schools. Back to school supplies giveaway , children’s activities. Education and Community Resources; Passport Representative onsite to provide information and GET MORE INFO

Thursday August 1st,5:00 pm-7:00 pm

A Back to School Event for Park City Elementary School students. The event will provide resources and information to participants. Passport Representative onsite to provide information and answer questions. Location: Park City GET MORE INFO

Thursday August 1st,9:00 am-11:00 am

A Back to School Event for Caverna Schools P -12th grade at the Cave City Convention Center. Passport Representative will be onsite to provide resources and information to participants. Location: 418 Mammoth GET MORE INFO

Thursday August 1st,5:00 pm-8:00 pm

A Passport Representative will be handing out resource info to the parents and students to get school supplies and resources. This is in Central time. Location: Greensburg High School 302 Brummal Ave; GET MORE INFO

Friday June 7th,10:30 am-12:30 pm

Saturday June 1st,11:00 am-8:00 pm

Location: 1080 Amphitheater Rd; Louisville, KY 40214 This Free all-day celebration of Music, Food, and Family activities invites everyone to be part of the beautiful diversity of Louisville will be held at GET MORE INFO

Friday September 27th,10:00 am-11:00 am

Thursday September 26th,12:00 pm-1:00 pm

The Healthy Lifestyle series is offered to JCTC students and will be held @HUB. Passport Health Plan’s Health Education Manager, Lisa Bellafato, and Behavioral Health Operation Manager, Eric Russ, will be onsite GET MORE INFO

Monday August 19th,12:00 pm-6:00 pm

Monday August 19th,5:00 pm-7:00 pm

BTS for college students. A Passport Representative will be onsite to provide information, answer questions, and hand out supplies. Location: Campbellsville University Student Center; Campbellsville, KY 42718

Saturday August 17th,11:00 am-12:00 pm

Monday August 12th,10:00 pm-2:00 pm

Free resource Fair for the Johnson County area- resources focused on insurance and local basic needs resources. A Passport representative will be onsite to provide information and answer questions. Location: 625 Main GET MORE INFO

Sunday August 11th,11:00 am-12:00 pm

Saturday August 10th,10:00 am-1:00 pm

Students have opportunity to receive free school and health supplies All of the back-to-school events are free and open to the public. Students must be accompanied by an adult to receive supplies, GET MORE INFO

Saturday August 10th,8:00 am-11:00 am

Event to allow families to collect community resources and pick up free school supplies. A Passport Representative will be onsite to provide information and answer questions. Location: 501 Philadelphia St; Covington, KY GET MORE INFO

Monday August 5th,4:30 pm-6:30 pm

Saturday August 3rd,9:00 am-11:30 am

A Back to School Event sponsored by the Medical Center for Franklin County students. The event will provide resources and information to participants; Passport Representative onsite to provide information and answer questions. GET MORE INFO

Saturday August 3rd,2:00 pm-5:00 pm

Saturday August 3rd,9:00 am-12:00 pm

Students have opportunity to receive free school and health supplies All of the back-to-school events are free and open to the public. Students must be accompanied by an adult to receive supplies, GET MORE INFO

Saturday August 3rd,9:00 am-12:30 pm

This event is for children and youth who attend Fayette County Public Schools. Back to school supplies giveaway , children’s activities. Education and Community Resources; Passport Representative onsite to provide information and GET MORE INFO

Thursday August 1st,5:00 pm-7:00 pm

A Back to School Event for Park City Elementary School students. The event will provide resources and information to participants. Passport Representative onsite to provide information and answer questions. Location: Park City GET MORE INFO

Thursday August 1st,9:00 am-11:00 am

A Back to School Event for Caverna Schools P -12th grade at the Cave City Convention Center. Passport Representative will be onsite to provide resources and information to participants. Location: 418 Mammoth GET MORE INFO

Thursday August 1st,5:00 pm-8:00 pm

A Passport Representative will be handing out resource info to the parents and students to get school supplies and resources. This is in Central time. Location: Greensburg High School 302 Brummal Ave; GET MORE INFO

Friday June 7th,10:30 am-12:30 pm

Saturday June 1st,11:00 am-8:00 pm

Location: 1080 Amphitheater Rd; Louisville, KY 40214 This Free all-day celebration of Music, Food, and Family activities invites everyone to be part of the beautiful diversity of Louisville will be held at GET MORE INFO